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  • in reply to: Signage #73721
    Carien Coleman
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    Carien Coleman

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    Hi Nitti,

    There may me a requirement under WH&S laws. Check with your Quality Manager as my Quality Manager raised the issue of hand hygiene posters with me last year and she did mention legislation.

    Warm wishes,
    Carien

    Carien Coleman | Infection Control CNC
    The Sunshine Coast Private Hospital
    Syd Lingard Drive | BUDERIM QLD 4556
    PO Box 5050 | Maroochydore BC QLD 4558
    T: (07) 5430 3245 | F: (07) 5430 3154
    E: carien.coleman@uchealth.com.au

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Nitti
    Sent: Tuesday, 4 April 2017 1:02 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Signage

    Dear all

    Having Hand hygiene/washing signage in health care especially private aged care, is it a legal requirement?
    Any advise will be appreciated
    Thanks
    Nitti

    Kind Regards

    [Image removed by sender.]

    Newnit Madan
    Infection Prevention Control Coordinator
    Sir Moses Montefiore Jewish Home
    120 High Street, Hunters Hill NSW 2110
    Tel: 02 9879 2756 | Mobile: 0467 505 539
    Email: nmadan@montefiorehome.com.au | Web: http://www.montefiorehome.com.au

    [Image removed by sender.][Image removed by sender.][Image removed by sender.]

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    in reply to: Re: skin prep for haemodyalisis – question #73539
    Carien Coleman
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    Carien Coleman

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    Hi Lindy,

    Octenidine is going to be available in Australia very soon and might be available already. If you contact me directly I can provide you the details of the company, etc. Octenidine is not a chemical agent per say and is used throughout Europe, including on very premature neonates.

    Kind regards,
    Carien

    Carien Coleman | Infection Control CNC
    The Sunshine Coast Private Hospital
    Syd Lingard Drive | BUDERIM QLD 4556
    PO Box 5050 | Maroochydore BC QLD 4558
    T: (07) 5430 3245 | F: (07) 5430 3154
    E: carien.coleman@uchealth.com.au

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Claire Rickard
    Sent: Friday, 9 December 2016 9:14 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: skin prep for haemodyalisis – question

    Hi Lindy, I agree with Tim & Carolyn, you could use 70% alcohol (and of course let it dry :)). If this is going to be a regular patient, there is another good agent (and generally well tolerated e.g. Used in neonates) called octenidine which is used ++ in Europe but not currently registered in Aust, u could get your pharmacist to get Special Access Scheme approval from TGA and order from o/s.
    Hope this helps, C

    Claire Rickard RN PhD FAHMS FACN
    Director, Alliance for Vascular Access Teaching and Research (AVATAR), & Professor, National Centre of Research Excellence in Nursing Interventions, Menzies Health Institute Queensland

    Visiting Scholar, Princess Alexandra, Prince Charles, and Royal Brisbane & Women’s Hospitals
    Honorary Professor, University of Manchester
    Assistant: Jo.Wright@griffith.edu.au Tel: +61 7 3735 4886
    [https://lh4.googleusercontent.com/i-R5K4-QTijRuqZ6l22XOUNBmPRWrBmS5Oys-Rh6s_Ylb-yfl1RUMDrJDGmfXdRXTJebq3cuuYNVOZkpgkNDzjZIYdTTqkZFmDGbmGfgbuE6Hx0kdMqk4AFuTtAphiCBDpPJ-0E] [https://docs.google.com/uc?export=download&id=0B6EekFFxxg8xazF6bEZQUjB0ZU0&revid=0B6EekFFxxg8xb2tYRDlzeURGdktqelNUSnd1NWFUUkpFUk5BPQ]

    [https://docs.google.com/a/griffith.edu.au/uc?id=0B4oYPXWMHd46aGY4ZUtCSUk4UjA&export=download]

    Interested in IV research? http://www.avatargroup.org.au

    Follow the AVATAR Group
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    Interested in joining AVAS? http://www.avas.org.au

    On 9 December 2016 at 08:59, <Carolyn.Chenoweth@fmc-asia.com> wrote:
    Hi Lindy,
    See below for haemodialysis access cleansing that we recommend for patients in our dialysis clinics across Australia and Asia Pacific.

    1. Educate patients to wash their fistula with normal liquid hand soap (we do not use antimicrobial hand soap) at dedicated clinical hand basins (no liquids e.g. dialysate emptied into these sinks) on arrival.
    If patients have mobility issues and can’t access the clinical hand basins we offer alcohol based hand rubs to clean their hands and fistula.

    2. We recommend Chlorhexidine (0.5% to 2%) combined with alcohol, swabs for all skin cleansing prior to cannulation.
    2% chlorhexidine can cause skin irritation while rarely have issues with 0.5% or 1%chlorhexidine and alcohol.
    If chlorhexidine can’t be tolerated at all we either use povidine iodine or plain alcohol swabs.
    The very rare patients who are highly sensitive to everything we just ensure very good hand washing and washing fistula with liquid hand soap.

    With best regards
    Carolyn Chenoweth
    Quality & Infection Prevention and Control Manager, Australia
    Asia Pacific Quality & IPC SME. CICP

    Fresenius Medical Care Australia Pty Ltd
    Payneham Dialysis Clinic,
    2 Portrush Road
    PAYNEHAM 5070
    Australia
    T: +61 (0) 8 8165 4313
    M: +61 (0) 407 810 800
    http://www.fmc-ag.com

    From: “EXTERN ACIPC Infexion Connexion” <AICALIST@AICALIST.ORG.AU>
    To: AICALIST@AICALIST.ORG.AU
    Date: 09/12/2016 07:59 AM
    Subject: skin prep for haemodyalisis – question
    ________________________________

    Hello

    We have a pt with sensitivity to povidine /iodine and CHG who has a fistula & is having regular haemodialysis .

    Other than cleaning her skin with sterile normal saline prior to cannulating them for their dialysis is there any other skin antisepsis that could be used.

    I have looked at referenced from CDC and APIC but there is nothing useful re any other skin antisepsis just wondering if anyone out there was using anything else in these pts with success or is sterile normal saline the only best option to stick with ?

    Many thanks

    Kind regards

    Lindy

    Lindy Ryan

    Infection prevention & Control Clinical Nurse Consultant (CNC) | Coffs Harbour Health Campus
    Pacific Hwy Coffs Harbour NSW 2450
    Tel (02) 6656 7770 | lindy.ryan@ncahs.health.nsw.gov.au
    http://www.health.nsw.gov.au

    Wise and humane management of the patient is the best safeguard against infection
    (Florence Nightingale Circa 1860)

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    Claire Rickard RN PhD FAHMS FACN
    Director, Alliance for Vascular Access Teaching and Research (AVATAR), & Professor, National Centre of Research Excellence in Nursing Interventions, Menzies Health Institute Queensland

    Visiting Scholar, Princess Alexandra, Prince Charles, and Royal Brisbane & Women’s Hospitals
    Honorary Professor, University of Manchester
    Assistant: Jo.Wright@griffith.edu.au Tel: +61 7 3735 4886
    [https://lh4.googleusercontent.com/i-R5K4-QTijRuqZ6l22XOUNBmPRWrBmS5Oys-Rh6s_Ylb-yfl1RUMDrJDGmfXdRXTJebq3cuuYNVOZkpgkNDzjZIYdTTqkZFmDGbmGfgbuE6Hx0kdMqk4AFuTtAphiCBDpPJ-0E] [https://docs.google.com/uc?export=download&id=0B6EekFFxxg8xazF6bEZQUjB0ZU0&revid=0B6EekFFxxg8xb2tYRDlzeURGdktqelNUSnd1NWFUUkpFUk5BPQ]

    [https://docs.google.com/a/griffith.edu.au/uc?id=0B4oYPXWMHd46aGY4ZUtCSUk4UjA&export=download]

    Interested in IV research? http://www.avatargroup.org.au

    Follow the AVATAR Group
    LinkedIn: http://bit.ly/2btniJ9
    Facebook: https://www.facebook.com/avatargroup4111/
    Twitter: https://twitter.com/AVATAR_grp

    Interested in joining AVAS? http://www.avas.org.au

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    in reply to: Re: Audits #68868
    Carien Coleman
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    Carien Coleman

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    Hi Jane,

    It would be really nice if you could email me your audit tools.

    Thank you,
    Carien

    Carien Coleman | Infection Control CNC
    The Sunshine Coast Private Hospital
    Syd Lingard Drive | BUDERIM QLD 4556
    PO Box 5050 | Maroochydore BC QLD 4558
    T: (07) 5430 3245 | F: (07) 5430 3436
    E: carien.coleman@uchealth.com.au
    ________________________________

    Happy to share our audit tools for insertion of peripheral IV cannulae and also management of peripheral IV’s.
    If anyone is interested please email me. Our tools are based on our in-house protocols which are referenced to CDC guidelines.
    14.12.11

    Jane Hellsten, CICP
    Manager, Infection Prevention Control
    Infectious Diseases Service
    Loddon Mallee Infection Control Resource Centre
    Bendigo Health

    We are currently reviewing our audit tool for monitoring compliance with guidelines for the management of peripheral venous catheters.

    Are there any “gold standard” examples available for review? In anticipation of your response, thank you.

    Kind regards

    Ingrid Tribe
    Infection Control Service
    Flinders Medical Centre
    Bedford Park SA 5152
    Australia

    T: (08) 82045051
    F: (08) 82044733
    E: ingrid.tribe@health.sa.gov.au

    Infection prevention is everybody’s business

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    in reply to: INFECTION PREVENTION AND CONTROL LINK WORKERS #68564
    Carien Coleman
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    Author:
    Carien Coleman

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    Hi Edith,

    I have just recently stepped into the role of IC CNC at our hospital and have had one meeting with our LINK nurses. To answer your questions:

    * They do not get any protected time to undertake their roles.
    * Currently it will expected of them to do HH audit and IC environmental audits
    * They will be a resource for other staff on the wards (a role I would love to extended and for them to have some background knowledge, i.e. NHMRC online IC modules)
    * We meet bi-monthly 5 x year
    * I discuss the IC management plan, one area of focus for the year, factors contributing to HAI on the wards and also the results from the HH Audits. Needs identified from the clinical area.

    As mentioned I am still finding my feet. I have found though that there is very poor attendance of meeting, although we rotate the days of the meetings to accommodate everyone. They get a “protected” hour on Trendcare for the meetings. The general consensus is that there is not enough time during their shifts to do any extra workload.

    I trust this will be helpful.

    Kind regards,

    Carien Coleman | Infection Control CNC
    The Sunshine Coast Private Hospital
    Syd Lingard Drive | BUDERIM QLD 4556
    PO Box 5050 | Maroochydore BC QLD 4558
    T: (07) 5430 3245 | F: (07) 5430 3436
    E: carien.coleman@uchealth.com
    ________________________________

    Dear All

    I want to know if you have infection control link workers in your areas? If you do have:

    * Do they get protected time to undertake their roles?
    * How much time do they get and is it funded for?
    * What roles are they expected to do?
    * How often do you meet with them?
    * If you meet with them what do you discuss with them?
    All your contributions will be greatly appreciated.

    Regards

    Edith Mahachi
    Infection Prevention and Control Nurse specialist
    Basildon and Thurrock Foundation Nhs Trust

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    in reply to: Holes in sterile surgical wrap #68512
    Carien Coleman
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    Author:
    Carien Coleman

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    Hi Wendy,

    I spoke to our OT NUM and fortunately we haven’t had any issues with
    holes or splits. What she did mention was that they use a transport
    tray for heavy items like orthopaedic sets. It is supplied free of
    charge from the manufacturer of our polypropylene wrap. I hope this helps.

    Regards,
    Carien

    Carien Coleman | Infection Control CNC
    Sunshine Coast Private Hospital
    Syd Lingard Drive | BUDERIM QLD 4556
    PO Box 5050 | Maroochydore BC QLD 4558
    T: (07) 5430 3245 | F: (07) 5430 3442
    E: carien.coleman@uchealth.com

    —–Original Message—–

    Currently at the Canberra Hospital we are experiencing problems related to the surgical wrap developing small holes and splits.

    I am wondering has anyone else had issues around this in their CSD or Operating Rooms. If any one has had this issue I am wondering f you would share your solution to resolve this.

    Would love to hear from you on this matter

    Wendy Beckingham
    CNC Infection Control
    The Canberra Hospital
    pager 50390 or phone 43695

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